MEDICARE: DAVID ZHANG QI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	R7857	TX
2	208800000X	Urology Physician	83291	GA
3	208800000X	Urology Physician	41951	AL

General Provider Information

NPI Number	:	1760826952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ZHANG QI M.D.

Provider Business Mailing Address
First Line	:	3485 INDEPENDENCE DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-5603
Country	:	US
Telephone Number	:	205-930-0920
Fax Number	:	205-445-0115

Provider Business Practice Location Address
First Line	:	3485 INDEPENDENCE DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-5603
Country	:	US
Telephone Number	:	205-930-0920
Fax Number	:	205-445-0115

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2013
Last Update Date	:	07/11/2024

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Directions to “ DAVID ZHANG QI M.D.” Practice Location

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